Fever, Wolhynia: Also known as trench fever, a disease borne by body lice that was first recognized in the trenches of World War I, when it is estimated to have affected more than a million people in Russia and on the fronts in Europe. Trench fever was again a major problem in the military in World War II and is seen endemically in Mexico, Africa, E. Europe, and elsewhere.
Urban trench fever occurs among the homeless people and people with alcoholism today. Outbreaks have been documented, for example, in Seattle, Baltimore (among injection-drug users), Marseilles (France) and Burundi.
The cause of trench fever is Bartonella quintana (also called Rochalimaea quintana), an unusual rickettsial organism that multiplies in the gut of the body louse. Transmission of the rickettsia to people can occur by rubbing infected louse feces into abraded (scuffed) skin or into the conjunctivae (whites of the eyes).
The disease is classically a 5-day fever. The onset of symptoms is sudden with high fever, severe headache, back pain and leg pain and a fleeting rash.
Recovery takes a month or more. Relapses are common.
It is now clear, that at least in its urban form among the homeless, trench fever can be associated with nonspecific symptoms or no symptoms (New England Journal of Medicine 340: 184-189, 1999).
The organism (B. quintana) that causes trench fever also has been found responsible for a disease called bacillary angiomatosis in people infected with HIV and for infection of the heart and great vessels (endocarditis) with bloodstream infection.
Trench fever is also called shin bone fever, quintan fever, five-day fever, Meuse fever, His’ disease, His-Werner disease, Werner-His disease.Tagged: f
Feverfew: Tanacetum parthenium is a member of the sunflower family and has been used for centuries in Europe as a headache remedy. It is most often used today to prevent and treat migraine headaches. Feverfew can cause allergic reactions, especially in persons who are allergic to ragweed, chrysanthemums, marigolds, or yarrow. Feverfew may alter the […]
- Fever, dengue hemorrhagic (DHF)
Fever, dengue hemorrhagic (DHF): A syndrome due to the dengue virus that tends to affect children under 10, causing abdominal pain, hemorrhage (bleeding) and circulatory collapse (shock). DHF starts abruptly with high continuous fever and headache plus respiratory and intestinal symptoms with sore throat, cough, nausea, vomiting, and abdominal pain. Shock occurs after 2 to […]
- Fever, desert
Fever, desert: A disease also called coccidioidomycosis (CM) due to a fungus called Coccidioides immitis. About 40% of people infected with this fungus develop symptoms. Most often they have an influenza-like illness with fever, cough, headaches, rash, and myalgias (muscle pains). Of those people with symptoms, 8% have severe lung disease requiring hospitalization and 7% […]
- Fever, dumdum
Fever, dumdum: Also called kala-azar, a chronic, potentially fatal parasitic disease of the viscera (the internal organs) due to infection by an agent called Leishmania donovani. Leishmania donovani is transmitted by sandfly bites in parts of Asia (primarily India), Africa (primarily Sudan) and South America (primarily Brazil) where all together there are an estimated half […]